儿童自闭症谱系障碍诊断在远程医疗和面对面会诊中的等价性:A 过后回顾

Oleg Zamilievich Khayretdinov, Lyusiena Igorevna Rubakova
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引用次数: 0

摘要

背景:由于COVID-19大流行,在流行病学限制期间,远程精神卫生保健形式的使用已变得普遍。方法和组织问题仍然没有充分发展,包括在诊断自闭症谱系障碍中使用远程医疗技术的等效水平。 目的:根据现代科学文献,研究自闭症谱系障碍儿童远程医疗和面对面会诊框架下诊断工具的等效性。 方法:对2017年1月至2023年5月间发表的科学研究进行描述性综述。对电子数据库PubMed、Web of Science和library中的论文进行分析。采用描述性分析对所得数据进行总结。 结果:所进行的分析令人信服地表明,不同国家用于一级筛查、评估量表和诊断自闭症谱系障碍的结构化程序的远程工具具有足够的等效性,特异性从60.0到94.4%,敏感性从75狗到98.4%,患者及其法律代表的满意度很高。 结论:在临床实践中广泛使用经过验证的远程医疗诊断系统有助于早期发现自闭症谱系障碍,提高医学、矫正心理、教学和康复干预的及时性和有效性。
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Equivalence of the Autism Spectrum Disorders Diagnostics in Children in Telemedicine and Face-to-Face Consultations: A erature Review
BACKGROUND: The use of remote forms of mental health care has become widespread during the period of epidemiological restrictions due to the COVID-19 pandemic. Methodological and organizational issues remain insufficiently developed, including the level of equivalence of the use of telemedicine technologies in the diagnosis of autistic spectrum disorders. AIM: Study of the equivalence of diagnostic tools in the framework of telemedicine and face-to-face consultations in children with autistic spectrum disorders according to modern scientific literature. METHODS: A descriptive review of scientific studies published between January 2017 and May 2023 was carried out. The papers presented in the electronic databases PubMed, Web of Science, and eLibrary were analyzed. Descriptive analysis was used to summarize the obtained data. RESULTS: The conducted analysis convincingly indicates sufficient equivalence of remote tools used in different countries for level I screening, assessment scales, and structured procedures for diagnosing autistic spectrum disorders with a high level of specificity from 60.0 to 94.4%, sensitivity from 75 dog 98.4%, and satisfaction of patients and their legal representatives. CONCLUSION: The widespread use of validated telemedicine diagnostic systems in clinical practice contributes to the early detection of autistic spectrum disorders, increasing the timeliness and effectiveness of medical, corrective psychological, pedagogical, and habilitation interventions.
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